How much rates vary
Facilitymedian $6,761 · 10th to 90th $2,239 to $13,183Professionalmedian $891 · 10th to 90th $646 to $1,445
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $812.83 Median $3,235.94 Typical High $8,912.51 | Facility | None | $812.83 | $3,235.94 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | None | $645.65 | $645.65 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,548.82 | Professional | None | $741.31 | $1,047.13 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $3,090.30 | Facility | None | $812.83 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,174.90 | Professional | None | $691.83 | $831.76 | $1,174.90 |
Denver HMP Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $1,348.96 | Facility | None | $645.65 | $851.14 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,202.26 | Professional | None | $602.56 | $794.33 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $2,754.23 | Facility | None | $602.56 | $1,258.93 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $912.01 | Professional | None | $602.56 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,025.60 Typical High $15,488.17 | Facility | None | $2,511.89 | $6,025.60 | $15,488.17 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,380.38 | Professional | None | $676.08 | $870.96 | $1,380.38 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | 52 · Reduced service | $323.59 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 53 · Discontinued | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 54 · Surgery only | $478.63 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $457.09 |
Where Colorado sits
The same service costs 7.6 times more in Oklahoma than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
OK $11,248TX $1,472
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.